Removal of protruding screws in a painful total hip arthroplasty: A case report.
Acetabular screws
Complications
Iliopsoas Impingement
Obturator nerve lesion
Total hip replacement
Journal
Radiology case reports
ISSN: 1930-0433
Titre abrégé: Radiol Case Rep
Pays: Netherlands
ID NLM: 101467888
Informations de publication
Date de publication:
Jan 2021
Jan 2021
Historique:
received:
29
09
2020
revised:
18
10
2020
accepted:
23
10
2020
entrez:
18
11
2020
pubmed:
19
11
2020
medline:
19
11
2020
Statut:
epublish
Résumé
Persistent pain after total hip arthroplasty can be challenging for the orthopedic surgeon. We present a case of a 56-year-old female with an uncommon cause of persistent pain after total hip replacement, due to protruding screws with the subsequent impingement of surrounding soft tissues. The patient presented persistent groin pain after total hip revision surgery. After ruling out infection and loosening, an infiltration of iliopsoas muscle was performed, with only temporary improvement. The magnetic resonance depicted the conflict of the screws with the surrounding soft tissues, in close relation to the iliopsoas muscle, the external obturator muscle and the sciatic nerve. Revision surgery was performed, removing the screws, and implanting a new liner with complete remission of symptoms. Our case presents an atypical cause of pain due to surrounding tissue lesions by offending screws with complete resolution after only screw removal. In the clinical study of persistent pain following a total hip replacement, screws length, and protrusion should be considered and ruled out as a possible and treatable etiology. Removal of the screws after cup integration can be a conservative and effective strategy to treat the pain.
Identifiants
pubmed: 33204381
doi: 10.1016/j.radcr.2020.10.048
pii: S1930-0433(20)30562-8
pmc: PMC7649597
doi:
Types de publication
Case Reports
Langues
eng
Pagination
103-107Commentaires et corrections
Type : ErratumIn
Informations de copyright
© 2020 Published by Elsevier Inc. on behalf of University of Washington.
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